| Dentistry Of Brookhaven Corporation | |
|
2221 Johnson Ferry Rd Ne Ste 2a Brookhaven GA 30319-2203 | |
| (770) 651-1000 | |
| (678) 212-1973 |
| Full Name | Dentistry Of Brookhaven Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2221 Johnson Ferry Rd Ne Ste 2a, Brookhaven, Georgia |
| Authorized Official Name and Position | Lee Casement (BILLING COLLECTIONS) |
| Authorized Official Contact | 7706511000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry Of Brookhaven Corporation 10930 Crabapple Rd Ste 106 Roswell GA 30075-5825 Ph: (770) 651-1000 | Dentistry Of Brookhaven Corporation 2221 Johnson Ferry Rd Ne Ste 2a Brookhaven GA 30319-2203 Ph: (770) 651-1000 |
| NPI Number | 1073408340 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073408340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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